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Individual

DEREK AILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AL4978841-928
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A122736
CA

Other

Enumeration date
02/10/2011
Last updated
07/21/2022
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